A 55-year-old man was referred to our institution for outpatient evaluation of several long-standing symptoms, including fatigue; numbness, tingling, and weakness in his extremities; diffuse abdominal pain; watery diarrhea; unintentional weight loss; and orthostasis with recent syncopal episodes. He was extensively evaluated by colleagues in various medical specialties. On day 11 of outpatient evaluation, his first cardiac arrest occurred, requiring several minutes of resuscitation.
Tajouri TH, Moynihan TJ. The Elephant in the Room—Your Patient Is DyingA Teachable Moment. JAMA Intern Med. 2014;174(2):185. doi:10.1001/jamainternmed.2013.12822